Transcript Medicines Supply Systems strengthening : Challenges Dr Magali Babaley, Dr Helen Tata, Dr Helene Moller Essential Medicines and Pharmaceutical Policies Department (EMP) TBS 16-20 November.

Medicines Supply Systems strengthening :
Challenges
Dr Magali Babaley, Dr Helen Tata, Dr Helene Moller
Essential Medicines and Pharmaceutical Policies Department (EMP)
TBS
16-20 November 2009
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TBS 16-20 November 2009
Medicines supply systems strengthening
Activities of Medicines supply unit:
 Mapping of medicines supply systems
Support the Ministry of health to map out all partners/actors involved
in medicines procurement and distribution and financial flows.
"Who do what and how"
Use evidence as basis of advocating strategies to strengthen
coordination and alignment of partners involved in the supply
system.
Countries : Cameroon, Senegal, Rwanda, Burundi, Mali, CongoBrazzaville, DRC, Ghana, Nigeria, Tanzania and Zambia
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TBS 16-20 November 2009
Medicines supply systems in TANZANIA. 2007
ESSENTIAL
MEDICINES
ARVs
MALARIA
TB
United Republic of Tanzania
REAGENT
Blood safety
(+ HIV test)
ARVs
Ped
OI
VACCINES CONDOMS CONTRACEPTIVES
MEDICAL
SUPPLIES
GOVERNMENT
BILATERAL
DONOR
MULTILATERAL
DONOR
NGO/PRIVATE
Source
Of Funds
Procurement
Agent/Body
C
S
S
C
W
H
O
TEC
&
CCT
S
I
D
A
N
O
R
A
D
C
L
I
N
T
O
N
U
N
I
T
A
I
D
C
I
D
A
H
A
V
A
R
D
H
A
V
A
R
D
MEDICAL
STORE
Point of 1st
warehousing
TEC
&CC
T
Point of 2nd
warehousing
TEC
&CC
T
REGIONAL/DISTRICT
VACCINE STORE
Point of
Distribution
TEC
&CC
T
ZONAL BLOOD
SAFETY CENTRE
HOSPITAL
CRS
P
E
P
F
A
R
IMA
GLOBAL
FUND
C
R
S
C
L
I
N
T
O
N
S
C
M
S
A
X
I
O
S
E
G
P
A
F
MEDICAL STORE
ZONAL MEDICAL STORE
DISTRICT STORE
P
F
I
Z
E
R
MOH
&
SW
GOVERNMENT
A
X
I
O
S
AXIOS
U
N
I
C
E
F
J
I
C
A
J
I
C
A
C
D
C
C
D
C
HEALTH FACILITY
HEALTH FACILITY
HEALTH FACILITY
PATIENT
C
O
L
U
M
B
I
A
C
O
L
U
M
B
I
A
COLUMBIA
A
B
B
O
T
T
A
B
B
O
T
T
G
A
V
I
G
A
V
I
HOSPITAL
C
U
A
M
M
C
U
A
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M
U
N
I
C
E
F
CROWN
AGENTS
U
S
A
I
D
W
B
U
S
A
I
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CUAMM
HOSPITAL
PRIMARY HEALTH CARE FACILITY
HOSPITAL
T
M
A
P
Medicines supply systems strengthening
Activities of Medicines supply unit:
 In depth assessment of medicines supply systems
Support the Ministry of health to carry-out an in-depth assessment of
the national medicines supply management system (performance
indicators for all the components of the medicines supply management
cycle are measured) in order to:
– determine strengths and weaknesses at each level of the system
(central, regional, peripheral),
– Identify gaps in the system and proposed strategies to fill in the
gaps.
Countries : Cameroon, Senegal, Rwanda, Burundi, Mali, CongoBrazzaville, DRC, Ghana, Nigeria, Tanzania and Zambia
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TBS 16-20 November 2009
Medicines supply systems strengthening
Activities of Medicines supply unit:
In collaboration with partners, regional blocks, collaborating centres etc…
to ensure effectiveness, accountability and transparency of
procurement and supply management system:
 Develop and implement strategies to increase the alignment of aid
 Support the implementation of a national coordination mechanism incountry (forecasting, financing, disbursement, monitoring-evaluation,
training…)
 Support the harmonization and the standardization of the technical
and financial procedures for procurement among partners
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TBS 16-20 November 2009
Medicines supply systems strengthening
Activities of Medicines supply unit
 Support the implementation of the "Model quality assurance system
for procurement agencies" at the national procurement agencies level,
including prequalification of suppliers.
A standardized tender document for medicines pre-selection has been
developed by ACAME (Association of 19 procurement agencies from
French speaking African countries). A strategy of pooled medicines
prequalification is developing by ACAME
 Develop norms, standards and good practices, using an harmonized
approach, to support and monitor capacity building and increase
transparency
– Guidelines for drug donation (revised 1999) : revision in process
– The Interagency emergency health kit (2006) : revision in process
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TBS 16-20 November 2009
Improving ACCESS to
QUALITY Reproductive Health
Essential Medicines and Medical Devices
COMPREHENSIVE APPROACH – PATH, WHO RHR, UNFPA
 Update of treatment guidelines
 Harmonise Essential Medicines Lists, globally and nationally
 Ensure access to latest information
 Harmonise quality standards for priority items
– Prequalification of condoms, IUDs, hormonal contraceptives
 Strengthen capacity at country level to procure and
supply quality medicines and medical devices
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TBS 16-20 November 2009
Improving ACCESS to
QUALITY Reproductive Health
Essential Medicines and Medical Devices
ACHIEVEMENTS
 The Interagency List of Essential Medicines in Reproductive
Health published and updated in 2006
 Interagency List of Essential Medical Devices published in 2008
– Working with UNFPA, WHO MPS, UNICEF, World Bank
to combine the two lists into one procurement list
 Essential Medicines for Reproductive Health: Guiding Principles
for their Inclusion on National Medicines Lists
 PATH in collaboration with WHO/PSM, UNFPA and Partners,
developed a “Tool Kit”, field tested in Malawi, Zambia
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TBS 16-20 November 2009
Improving ACCESS to
QUALITY Reproductive Health
Essential Medicines and Medical Devices
ACHIEVEMENTS
 Prequalification (WHO QSM )
- 4th Expression of Interest published,
2 implants, combination injectables added
 With UNFPA and key stakeholders
– specifications for condoms and IUDs
– established a system for prequalifying
(8 IUD, 55 condom approved)

WHO/RHR and Partners, the IBP Knowledge Gateway:
Web-based resource
– "Frequently Asked Questions"
– Promote sharing and exchange of knowledge
in and among countries by supporting
virtual on-line Communities of Practice.
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TBS 16-20 November 2009
Medicines supply systems strengthening
Activities of Medicines supply unit
Thank you
The Medicines supply team:
Magali babaley
[email protected]
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TBS 16-20 November 2009
Helen Tata
[email protected]
Helene Moller
[email protected]